Activity Brief September 2013 Utilizing Participatory HIV Prevention Research Findings in Swaziland Promoting knowledge, leadership and action among university students Introduction HIV prevalence in Swaziland is among the highest in the world: approximately one in four adults is infected with HIV, including one in ten youth ages 15-24.1 The University of Swaziland (UNISWA) is the single comprehensive tertiary university in the country, and its graduates go on to fill essential leadership roles in Swazi government, education, economic, and health sectors, among others. Students at UNISWA are vital stakeholders and future leaders in HIV prevention in Swaziland. As part of R2P’s capacity building and data utilization efforts, students from UNISWA were engaged in a project to use previously collected data on the HIV epidemic in Swaziland to develop educational materials, programs and activities to address HIV prevention. Under this initiative, there were three specific projects. The aims of these projects were Acknowledgements The study was implemented by USAID | Project SEARCH, Task Order No.2, which is funded by the U.S. Agency for International Development under Contract No. GHH-I00-07-00032-00, beginning September 30, 2008, and supported by the President’s Emergency Plan for AIDS Relief. The Research to Prevention (R2P) Project is led by the Johns Hopkins Center for Global Health and managed by the Johns Hopkins Bloomberg School of Public Health Center for Communication Programs (CCP). 1.To develop and pilot an educational curriculum with students in the Faculty of Education for implementation in primary, secondary and adult classrooms; 2.To guide volunteer university students in designing and implementing on-campus HIV prevention programs and activities targeting fellow students; and 3.To initiate an internship program providing students the opportunity to obtain applied research and data utilization experience with an HIV prevention organization. Project 1 Developing and piloting educational materials Project details The initiative’s first project was implemented with the UNISWA Faculty of Education, a department that trains future teachers of primary, secondary and adult education. Through seminars, workshops, and new materials, the project launched a pilot HIV project that aimed to further integrate HIV prevention into teaching and education in Swaziland while supporting new teachers working in the context of HIV/AIDS. The initiative relied heavily on data from recent studies in Swaziland to produce toolkits on CDs. The project also assisted student teachers in the use of the kits for their practicum and future teaching positions. Key results • Over 300 CDs were distributed and another 100 have been produced for future distribution. • 240 students in the Faculty of Education were introduced to the toolkit content and opportunities for application of materials in the classroom setting. • The toolkit is now available online, making it accessible to all teachers and students with internet access. • Other teacher training institutions in the country have expressed interest in conducting similar trainings and have requested access to the toolkit CDs. Project 2: Campus-wide education and activism Project details For the second project, volunteer students worked to develop HIV prevention educational activities and materials that would benefit the general student population at UNISWA. Approximately 40 students were trained on HIV data utilization. Then, sub-groups of students collaborated with faculty mentors to develop proposals for data utilization projects. The initial three projects were: (1) “Human Rights – the Right to Know about HIV,” an expert panel discussion held on campus; (2) “HIV Knows No Boundaries,” an event before travel to regional sports competition, engaging over 500 individuals from the University community who visited the display materials and actively participated in discussions; and (3) “Women Know Campaign,” a campus event targeting women (while also engaging men) that included speakers, quizzes, conversations, demonstrations and music. Many similar programs were developed and implemented in the program’s second year as well. Key results • Students gained experience using and interpreting data to design and implement HIV programs and materials that attracted hundreds of their peers. • The peer-to-peer format allowed for HIV education to connect with students through their own perspectives. • Participants connected with the UNISWA HIV Student Peer Counselors and Educators, a student group that could become a platform for future data utilization activities. Project 3: Student internship program Project details With UNISWA faculty mentors and external organizations working in HIV, the initiative’s third project developed and implemented student internships for fourth-year students that focused on the application of HIV research in practical and applied settings. Students were chosen through a competitive selection process. They were placed and supported in six-week internships. Key results • Over the 2 years of the program, 21 six-week internships were completed at one of seven participating organizations. • There were more qualified students than could be supported through the program. Interest expanded quickly, not only among students and partner organizations, but within the greater university and outside community. Voice from the field “Undoubtedly, the initiative has helped sharpen my grasp and understanding of the effects of HIV [and has] largely influenced behavior change and responsible living in every sphere of my life. [… The program] has provided … an opportunity to gain immeasurable insights and discoveries on HIV/AIDS which can only be obtained through practical experience.” –Internship and campus activism participant Lessons Learned One challenge of the UNISWA initiative can also be considered a success and opportunity: many more students than anticipated were interested in participating in the three projects. This small pilot initiative demonstrated that capacity-building projects with students can be successfully conducted and potentially expanded at UNISWA. Beyond the students at UNISWA, this initiative has the potential to be implemented throughout Swaziland. Project 1 can potentially disseminate HIV education to thousands of students throughout Swaziland through the trained teachers. By offering opportunity and experience to Swaziland’s future leaders, projects 2 and 3 have the potential to address staffing needs related to HIV research and data utilization and action on HIV/ AIDS. The initiative’s work was accomplished in part through the engagement and technical support of the Swaziland National HIV and AIDS Information and Training Centre and USAID’s Knowledge for Health (K4H) Swaziland program. Further, the new Swaziland Tertiary Institutions HIV/AIDS Intervention, an expansion of the initial UNISWA initiative, is improving the response to HIV in Swaziland by linking partners with needs identified by the higher education community and developing capacity to respond to the HIV epidemic. This intervention, in collaboration with its partners, has the potential to develop broad-based response capacity, including utilization of data and research to support program development and action on HIV across higher education settings. 1. UNICEF. (2011). Statistics: Swaziland. www.unicef.org retrieved August 21, 2013. The Johns Hopkins University. 111 Market Place, Suite 310. Baltimore, MD 21202 www.jhsph.edu/r2p
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